Calcium Channel Blocker Overdose: What Role Does Extracorporeal Membrane Oxygenation Have in Support? A Systematic Review of the Literature.

Extracorporeal membrane oxygenation (ECMO) has had increasing prevalence and indications in the last decade. Calcium channel blocker overdose (CCBOD) can lead to significant cardiopulmonary dysfunction and has also increased in recent years. CCBOD results in cardiac depression, vasoplegia, and hyperglycemia.

Hemoglobinopathy E in 4 siblings of a North Indian family: A hidden malaise of social problem.

The preference for male child and neglect of girl child for long has resulted in a hazardously poor sex ratio, but bride buying seems to be no solution for it as it has its own inherent consequences on society and public health. This article tries to look at a relationship between a state's poorly kept secret like bride buying and its unseen complications. Here, we report a family of six members, where all 4 children have hemoglobin E disease a relatively rare entity seen in this part of the country.

Novel Educational Module for Subclavian Central Venous Catheter Insertion Using Real-Time Ultrasound Guidance.

Objective: Given increasing evidence supporting a real-time ultrasound (US)-guided approach for subclavian vein (SCV) central venous catheter (CVC) insertion as compared with the traditional landmark approach, we sought to develop a standardized curriculum to offer healthcare providers a means to attain increased competency and confidence in US-guided SCV CVC insertion.

Design: Retrospective review of prospectively collected data.

Setting: Single institution's American College of Surgeons Level 1 Accredited Education Institute within an academic tertiary care center.

Production of fungal amylases using cheap, readily available agriresidues, for potential application in textile industry.

The study aimed at isolation and screening of fungal amylase producer, optimization of solid state fermentation conditions for maximum amylase production by the best amylase producer, and characterization of the crude amylases, so produced. Aspergillus fumigatus NTCC1222 showed the highest amylase activity (164.1 U/mL) in secondary screening under SSF conditions and was selected for further studies.

A complex injury of the distal ulnar physis: a case report and brief review of the literature.

Physeal fractures of the distal forearm are common injuries in children and adolescents. However, Salter-Harris type III and type IV fractures of the distal ulnar epiphysis are often high-energy injuries that require open reduction for restoration of anatomical alignment. These injuries are uncommon and there are few descriptions of them in the contemporary literature.

Femoral head size and wear of highly cross-linked polyethylene at 5 to 8 years.

Unlabelled: Wear of highly cross-linked polyethylene is reportedly independent of head size. To confirm that observation we asked in our population whether head size related to wear with one type of electron beam highly cross-linked polyethylene. Of 146 hips implanted, we evaluated complete clinical and radiographic data for 90 patients (102 hips or 70%).

Wear analysis in THA utilizing oxidized zirconium and crosslinked polyethylene.

Unlabelled: Oxidized zirconium, a material with a ceramic surface on a metal substrate, and highly cross-linked polyethylene are two materials developed to reduce wear. We measured in vivo femoral head penetration in patients with these advanced bearings. We hypothesized the linear wear rates would be lower than those published for cobalt-chrome and standard polyethylene.

Effect of duodenal ulcerogens cysteamine, mepirizole, and MPTP on duodenal myoelectric activity in rats.

Increased gastric acid secretion, enhanced acid delivery to the duodenum, and reduced alkaline secretion in the proximal duodenum are relatively well-established pathophysiologic abnormalities in duodenal ulcer. Impaired duodenal motility, however, may also contribute to duodenal ulceration by altering the distribution of acid and alkaline secretions along the upper digestive tract. We tested the hypothesis that the duodenal ulcerogens cysteamine, MPTP, and mepirizole modify duodenal motility in the rat and that motility changes might be a common and early alteration in experimental duodenal ulceration.

Nodular duodenitis in chronic maintenance hemodialysis patients.

A retrospective study of 138 cases of chronic hemodialysis between 1977 and 1982 were reviewed for endoscopic, radiographic, and histologic characteristics of duodenitis. Forty patients underwent upper gastrointestinal barium x-rays; 13 were found to have multiple duodenal bulb nodules and three of these patients had very prominent duodenal bulb folds. There were 42 patients on whom upper panendoscopy was performed, and multiple duodenal nodules were seen in 15 patients and thickened folds in three patients.

Tricyclic antidepressants in the treatment of peptic ulcer disease.

Doxepin hydrochloride was given to 12 patients with duodenal ulcer and one patient with an anastomotic ulcer. The dose of doxepin hydrochloride was 100 mg at bedtime, except in patients receiving hemodialysis, where only 50 mg at bedtime was given. Eight patients, including the four receiving hemodialysis, has not responded to treatment after eight weeks of cimetidine and/or antacid therapy.

Barrett's esophagus: an old entity rediscovered.

I have reviewed Barrett's esophagus in the light of recent advances. Barrett's esophagus is not as rare as general practitioners and gastroenterologists think. Present evidence suggests that the disorder is acquired as a complication of reflux esophagitis.

A second look at cimetidine.

Two-well conducted double blind studies have shown that cimetidine is not better than placebo in healing of duodenal ulcers at the end of the 6 weeks. I was surprised when the F.D.

Diagnosis of occult gastrointestinal lesions by stool guaiac testing in a geriatric hospital.

In a long-term care facility, the fecal guaiac test for occult blood was used as a screening method to detect gastrointestinal (GI) bleeding lesions. The study involved 450 chronically ill hospitalized patients whose average age was 70 years. Each underwent 6 fecal guaiac tests for three consecutive days while receiving a standardized meat-free, high-fiber diet.

Spontaneous bacterial peritonitis presenting as a perforated viscus.

A young man with severe nephrotic syndrome and symptoms suggestive of peptic ulcer disease treated with steroids developed symptoms and signs of peritonitis and pneumoperitoneum. Laparotomy and ascitis fluid culture revealed B. fragilis peritonitis without any perforation, suggesting a diagnosis of spontaneous primary peritonitis.

Malignant tumors associated with carcinoid tumors of the gastrointestinal tract.

Twenty-three associated malignant neoplasms mostly adenocarcinomas were recognized in 96 patients with gastrointestinal carcinoid tumors, between 1968 and 1977 at the University of Rochester Medical Center. Associated malignancies were present in 17 patients, affected various organs and led to an early death even though the carcinoid tumors generally remained localized. There was a 36% incidence of a second malignant neoplasm in patients with ileal carcinoid, but no second tumor in patients with carcinoid of the rectum.

Duplication of the ascending colon mimicking carcinoma in the elderly.

A 62-year-old woman with duplication of the proximal ascending colon had clinical features suggestive of carcinoma of the colon. We discuss our diagnostic difficulties and the histology of this entity.

Campylobacter colitis presentin as inflammatory bowel disease with segmental colonic ulcerations.

Campylobacter fetus subspecies have recently been recognized as an important cause of diarrheal illness in humans. We report a case of culture positive C. fetus colitis with colonoscopic findings of segmental mucosal edema, loss of normal vascular pattern with ulceration, and patchy involvement of mucosa.